Mobile Health for Asthma

Kouri, Andrew; Gupta, Samir

doi:10.1016/j.chpulm.2023.100002

Cited by 6 publications

(1 citation statement)

References 69 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…mHealth tools are particularly well suited for the needs of patients with asthma and COPD, which involve significant self-monitoring and self-management, regular use of inhaler devices, and frequent physiological reassessment [3,6]. Systematic reviews of the clinical effectiveness of mHealth in asthma and COPD have demonstrated improvements in quality of life, inhaler adherence, and asthma control levels, as well as reductions in emergency room visits [7][8][9]. The COVID-19 pandemic has also highlighted the promise of respiratory mHealth, as virtual care increased and in-person pulmonary function testing capacity was severely restricted [10].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Perspectives and Experiences of Older Adults With Asthma and Chronic Obstructive Pulmonary Disease Toward Mobile Health: Qualitative Study

Kouri,

Gupta,

Straus

et al. 2023

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

Background The use of mobile health (mHealth) in asthma and chronic obstructive pulmonary disease (COPD) is growing, and as the population ages, a greater number of older adults stand to benefit from mHealth-enhanced airway disease care. Though older adults are a heterogeneous population of health technology users, older age represents a potential barrier to health technology adoption, and there is currently a lack of knowledge on how older age influences mHealth use in asthma and COPD. Objective In this qualitative study, we sought to explore the experiences and perspectives of adults who were aged 65 years and older with asthma and COPD toward mHealth use. Methods Semistructured individual interviews were conducted with adults who were aged 65 years and older with asthma or COPD and owned a smartphone. Applying phenomenological methodology, we analyzed interview transcripts in order to develop themes and propose an essential experience of mHealth use among older adults with airway disease. We then summarized our qualitative findings and proposed strategies to leverage our results in order to guide future research and implementation efforts targeting older adults’ use of airway mHealth. Results Twenty participants (mean age 79.8, SD 4.4 years) were interviewed. Participants described a central tension between (1) the perception that mHealth could help maintain independence throughout aging and (2) an apprehension toward the ways in which mHealth could negatively affect established health care experiences. Several elements of these 2 themes are absent from previous research focusing on younger adults with asthma and COPD. The individual elements of these 2 themes informed potential strategies to optimize future older adults’ use of asthma and COPD mHealth tools. Conclusions Focusing on the perspectives and experiences of older adults with asthma and COPD in their use of mHealth identified novel understandings of health technology use in this important demographic in need of greater care. These lessons were translated into potential strategies that will need to be objectively evaluated in future airway mHealth research, development, and implementation efforts.

show abstract

Section: Introductionmentioning

confidence: 99%

Exploring the Perspectives and Experiences of Older Adults With Asthma and Chronic Obstructive Pulmonary Disease Toward Mobile Health: Qualitative Study

Kouri,

Gupta,

Straus

et al. 2023

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

show abstract

Mobile Direct Observed Therapy (MDOT) for Inhaler Therapy in Children With Newly Diagnosed Asthma: A Pilot Study

Pathania,

Jat,

Pathania

et al. 2024

Indian Pediatr

View full text Add to dashboard Cite

A text-based conversational agent for asthma support: Mixed-methods feasibility study

Cook,

Peters,

Moradbakhti

et al. 2024

DIGITAL HEALTH

View full text Add to dashboard Cite

Objective Millions of people in the UK have asthma, yet 70% do not access basic care, leading to the largest number of asthma-related deaths in Europe. Chatbots may extend the reach of asthma support and provide a bridge to traditional healthcare. This study evaluates ‘Brisa’, a chatbot designed to improve asthma patients’ self-assessment and self-management. Methods We recruited 150 adults with an asthma diagnosis to test our chatbot. Participants were recruited over three waves through social media and a research recruitment platform. Eligible participants had access to ‘Brisa’ via a WhatsApp or website version for 28 days and completed entry and exit questionnaires to evaluate user experience and asthma control. Weekly symptom tracking, user interaction metrics, satisfaction measures, and qualitative feedback were utilised to evaluate the chatbot's usability and potential effectiveness, focusing on changes in asthma control and self-reported behavioural improvements. Results 74% of participants engaged with ‘Brisa’ at least once. High task completion rates were observed: asthma attack risk assessment (86%), voice recording submission (83%) and asthma control tracking (95.5%). Post use, an 8% improvement in asthma control was reported. User satisfaction surveys indicated positive feedback on helpfulness (80%), privacy (87%), trustworthiness (80%) and functionality (84%) but highlighted a need for improved conversational depth and personalisation. Conclusions The study indicates that chatbots are effective for asthma support, demonstrated by the high usage of features like risk assessment and control tracking, as well as a statistically significant improvement in asthma control. However, lower satisfaction in conversational flexibility highlights rising expectations for chatbot fluency, influenced by advanced models like ChatGPT. Future health-focused chatbots must balance conversational capability with accuracy and safety to maintain engagement and effectiveness.

show abstract

Mobile Health for Asthma

Cited by 6 publications

References 69 publications

Exploring the Perspectives and Experiences of Older Adults With Asthma and Chronic Obstructive Pulmonary Disease Toward Mobile Health: Qualitative Study

Exploring the Perspectives and Experiences of Older Adults With Asthma and Chronic Obstructive Pulmonary Disease Toward Mobile Health: Qualitative Study

Mobile Direct Observed Therapy (MDOT) for Inhaler Therapy in Children With Newly Diagnosed Asthma: A Pilot Study

A text-based conversational agent for asthma support: Mixed-methods feasibility study

Contact Info

Product

Resources

About